Clinical Case 2

You are assessing Hannah, a 2-year-old girl presenting with a six day history of fever. A careful history reveals that Hannah had a rash across her torso which has now resolved. Her father also says he noted her eyes were red which he assumed was the start of a viral infection she had picked up at nursery that week.

On examination, Hannah is reluctant to be examined and clinging onto her father. Her examination is unremarkable except for a temperature of 38.2 and raised cervical lymph nodes on the right. The remainder of the ENT examination is normal. You wonder about Kawasaki disease and ask your Consultant for advice, who suggests you should take some bloods, check her urine, and order a chest X-ray.